Embed Size (px)
Citation preview
2015 Community Forum
Create and offer innovative supports for people with cognitive developmental
physical and health related needs
Brief Reflection
bull Board of Directors
bull Imagine Staff
bull Network of Providers 34 active a selection of 100 PASArsquos
bull Imagine designation as a Community Centered Board
3
4
bull The State of the State
bull Ending Waitlists in
ColoradoGrowth at Imagine
bull Community Capacity Issues
bull Conflict Free Case Management
and its Implications
How many people are we talking about
bull Early Intervention bull 484 -gt 516
bull Family Support bull 963 -gt 840
bull Childrenrsquos Extensive Support bull 76 (43 waiting) -gt 154 (0 waiting)
bull Foster Care bull 23 -gt 29
bull Adult Supported Living Services bull 260 -gt 387 (0 waiting)
bull Adult Comprehensive bull 313 -gt 368
bull Eligible Adults not funded in SLSComp bull 354 -gt 182
5
Colorado LegislatureIDD related bills
bull 2014 Establish a task force to analyze Regional Centers and ICF audit
bull Long Bill FY 16 Budget
bull Pending Bill to move the Division of Vocational Rehabilitation from DHS to CDLE
bull Pending Bill to redesign adult waivers and address conflict free case management
6
State Government
Budget Proposal approved by JBC for FY16 (statewide)
ndash 40 adults into HCBS-DD (259 last year)
ndash 55 foster care transition to HCBS-DD
ndash 30 adults transition from Regional Centers
ndash 92 adults into HCBS-SLS essentially ending the waitlist (2042 last year)
ndash 49 children into HCBS-CES essentially ending the waitlist (279 last year)
ndash 61 youths transitioning out of CES to SLS (61 last year)
ndash $1 million FSSP one time for respite care
7
State Government
bull Last yearrsquos 2013 - 14 Budget under spent by $23 million
bull Current year 2014 ndash 15 Budget under spent by about $20 millionndash Onboarding 2042 HCBS-SLS new enrollments
ndash Designed delay in filling vacancies for HCBS-DD
ndash Caps on various services
ndash Provider capacity issues for various services
bull 2015 ndash 16 Budget rate increase of 17 CPI projected increase of 27
8
9
$10000
$11000
$12000
$13000
$14000
$15000
$16000
$17000
FY 98 FY 99 FY 00 FY 01 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 FY 12 FY 13 FY 14 Fy 15 FY 16 FY 17 FY 18 FY 19 FY 20
Comparison of Provider-rate Policy to Denver-Boulder-Greeley CPITrending from FY 98 to FY 20
Growth of FY 98 $100 based on annual increasesdecreases appropriated for community provider rates
Growth of FY 98 $100 if annual fiscal year increase had been appropriated based on the prior calendar years Denver-Boulder-Greeley CPI
FY 16 is projected 27 CPI increase
FY16 is reflects JBC 17 rate increase
Workforce Boulder County
10
87457439 5701
5096 4147 2350
7043
14102
29727
0
5000
10000
15000
20000
25000
30000
35000
PY 12 PY 13 PY 14
Boulder County July 1 - December 31Three Year Comparison
Job Seekers
UI Claimants
Job Openings
Workforce Boulder County
11
IndustryPY 14 Job
Openings
of
Total
PY 13 Job
Openings
Change
from PY13Who are these companies
TOTAL 29727 1000 14102 1108
Professional Scientific
and Technical Services9076 305 2808 2232
AceInfo Solutions Digital Globe i2i Workforce AAA
Pest Pros Collabera Advantage Sales amp Marketing
Information 6516 219 727 7963Ventyx Black Diamond Outreach Zayo Twitter 30dB
Inc
Manufacturing 2715 91 1786 520Anvanced Forming Technology (metal manufacturing)
Covidien GE Lighting VSI Parylene ThermoFisher The
Keystone Group
Health Care and Social
Assistance2319 78 1763 315
Audigy Group All Valley Home Care Genosis
Rehabilitation Infinity Rehab Pediatric Services of
America
Retail 1881 63 1619 162Lowes MCG (Food amp Beverage store) Pier 1 Imports
Ross Starbucks Staples Lafayette Florist Redstone
Strategy Group
Conflict Free Case Management
Federal Centers for Medicare and Medicaid Rule
Providers of HCBS for the individual or those who have an interest in or are employed by a provider of HCBS for the individual must not provide case management or develop the person-centered service plan except when the State demonstrates that the only willing and qualified entity to provide case management andor develop person-centered service plans in a geographic area also provides HCBS
12
Conflict Free Case Management
Imagine Goals Toward a Resolution
bull Do no harm to end-userbull MaintainImprove end-user freedom of choicebull Put forth a solution which results in a seamless transition for end-usersbull MaintainImprove Coloradorsquos ranking as 8th for community based service delivery
among the most cost effective deliverables in the countrybull Maintain IDD specialtybull Maintain local values accountability controls and responsibility (ie current local
Boards of Directors)bull MaintainImprove local resources fund-raising mil levies local contracts for
servicebull Maintain organizationsrsquo social identities as dependable community resourcesbull Maintain existing workforce without harmbull MaintainImprove oversight of provider quality and veracity of system
administrationbull Respond appropriately to a fiscal analysis of the CMS Rulebull Address Federal interpretation and compliancebull Meet goals while minimizing unintended consequences
13
What would you like to talk about
14
Create and offer innovative supports for people with cognitive developmental
physical and health related needs
Brief Reflection
bull Board of Directors
bull Imagine Staff
bull Network of Providers 34 active a selection of 100 PASArsquos
bull Imagine designation as a Community Centered Board
3
4
bull The State of the State
bull Ending Waitlists in
ColoradoGrowth at Imagine
bull Community Capacity Issues
bull Conflict Free Case Management
and its Implications
How many people are we talking about
bull Early Intervention bull 484 -gt 516
bull Family Support bull 963 -gt 840
bull Childrenrsquos Extensive Support bull 76 (43 waiting) -gt 154 (0 waiting)
bull Foster Care bull 23 -gt 29
bull Adult Supported Living Services bull 260 -gt 387 (0 waiting)
bull Adult Comprehensive bull 313 -gt 368
bull Eligible Adults not funded in SLSComp bull 354 -gt 182
5
Colorado LegislatureIDD related bills
bull 2014 Establish a task force to analyze Regional Centers and ICF audit
bull Long Bill FY 16 Budget
bull Pending Bill to move the Division of Vocational Rehabilitation from DHS to CDLE
bull Pending Bill to redesign adult waivers and address conflict free case management
6
State Government
Budget Proposal approved by JBC for FY16 (statewide)
ndash 40 adults into HCBS-DD (259 last year)
ndash 55 foster care transition to HCBS-DD
ndash 30 adults transition from Regional Centers
ndash 92 adults into HCBS-SLS essentially ending the waitlist (2042 last year)
ndash 49 children into HCBS-CES essentially ending the waitlist (279 last year)
ndash 61 youths transitioning out of CES to SLS (61 last year)
ndash $1 million FSSP one time for respite care
7
State Government
bull Last yearrsquos 2013 - 14 Budget under spent by $23 million
bull Current year 2014 ndash 15 Budget under spent by about $20 millionndash Onboarding 2042 HCBS-SLS new enrollments
ndash Designed delay in filling vacancies for HCBS-DD
ndash Caps on various services
ndash Provider capacity issues for various services
bull 2015 ndash 16 Budget rate increase of 17 CPI projected increase of 27
8
9
$10000
$11000
$12000
$13000
$14000
$15000
$16000
$17000
FY 98 FY 99 FY 00 FY 01 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 FY 12 FY 13 FY 14 Fy 15 FY 16 FY 17 FY 18 FY 19 FY 20
Comparison of Provider-rate Policy to Denver-Boulder-Greeley CPITrending from FY 98 to FY 20
Growth of FY 98 $100 based on annual increasesdecreases appropriated for community provider rates
Growth of FY 98 $100 if annual fiscal year increase had been appropriated based on the prior calendar years Denver-Boulder-Greeley CPI
FY 16 is projected 27 CPI increase
FY16 is reflects JBC 17 rate increase
Workforce Boulder County
10
87457439 5701
5096 4147 2350
7043
14102
29727
0
5000
10000
15000
20000
25000
30000
35000
PY 12 PY 13 PY 14
Boulder County July 1 - December 31Three Year Comparison
Job Seekers
UI Claimants
Job Openings
Workforce Boulder County
11
IndustryPY 14 Job
Openings
of
Total
PY 13 Job
Openings
Change
from PY13Who are these companies
TOTAL 29727 1000 14102 1108
Professional Scientific
and Technical Services9076 305 2808 2232
AceInfo Solutions Digital Globe i2i Workforce AAA
Pest Pros Collabera Advantage Sales amp Marketing
Information 6516 219 727 7963Ventyx Black Diamond Outreach Zayo Twitter 30dB
Inc
Manufacturing 2715 91 1786 520Anvanced Forming Technology (metal manufacturing)
Covidien GE Lighting VSI Parylene ThermoFisher The
Keystone Group
Health Care and Social
Assistance2319 78 1763 315
Audigy Group All Valley Home Care Genosis
Rehabilitation Infinity Rehab Pediatric Services of
America
Retail 1881 63 1619 162Lowes MCG (Food amp Beverage store) Pier 1 Imports
Ross Starbucks Staples Lafayette Florist Redstone
Strategy Group
Conflict Free Case Management
Federal Centers for Medicare and Medicaid Rule
Providers of HCBS for the individual or those who have an interest in or are employed by a provider of HCBS for the individual must not provide case management or develop the person-centered service plan except when the State demonstrates that the only willing and qualified entity to provide case management andor develop person-centered service plans in a geographic area also provides HCBS
12
Conflict Free Case Management
Imagine Goals Toward a Resolution
bull Do no harm to end-userbull MaintainImprove end-user freedom of choicebull Put forth a solution which results in a seamless transition for end-usersbull MaintainImprove Coloradorsquos ranking as 8th for community based service delivery
among the most cost effective deliverables in the countrybull Maintain IDD specialtybull Maintain local values accountability controls and responsibility (ie current local
Boards of Directors)bull MaintainImprove local resources fund-raising mil levies local contracts for
servicebull Maintain organizationsrsquo social identities as dependable community resourcesbull Maintain existing workforce without harmbull MaintainImprove oversight of provider quality and veracity of system
administrationbull Respond appropriately to a fiscal analysis of the CMS Rulebull Address Federal interpretation and compliancebull Meet goals while minimizing unintended consequences
13
What would you like to talk about
14
Brief Reflection
bull Board of Directors
bull Imagine Staff
bull Network of Providers 34 active a selection of 100 PASArsquos
bull Imagine designation as a Community Centered Board
3
4
bull The State of the State
bull Ending Waitlists in
ColoradoGrowth at Imagine
bull Community Capacity Issues
bull Conflict Free Case Management
and its Implications
How many people are we talking about
bull Early Intervention bull 484 -gt 516
bull Family Support bull 963 -gt 840
bull Childrenrsquos Extensive Support bull 76 (43 waiting) -gt 154 (0 waiting)
bull Foster Care bull 23 -gt 29
bull Adult Supported Living Services bull 260 -gt 387 (0 waiting)
bull Adult Comprehensive bull 313 -gt 368
bull Eligible Adults not funded in SLSComp bull 354 -gt 182
5
Colorado LegislatureIDD related bills
bull 2014 Establish a task force to analyze Regional Centers and ICF audit
bull Long Bill FY 16 Budget
bull Pending Bill to move the Division of Vocational Rehabilitation from DHS to CDLE
bull Pending Bill to redesign adult waivers and address conflict free case management
6
State Government
Budget Proposal approved by JBC for FY16 (statewide)
ndash 40 adults into HCBS-DD (259 last year)
ndash 55 foster care transition to HCBS-DD
ndash 30 adults transition from Regional Centers
ndash 92 adults into HCBS-SLS essentially ending the waitlist (2042 last year)
ndash 49 children into HCBS-CES essentially ending the waitlist (279 last year)
ndash 61 youths transitioning out of CES to SLS (61 last year)
ndash $1 million FSSP one time for respite care
7
State Government
bull Last yearrsquos 2013 - 14 Budget under spent by $23 million
bull Current year 2014 ndash 15 Budget under spent by about $20 millionndash Onboarding 2042 HCBS-SLS new enrollments
ndash Designed delay in filling vacancies for HCBS-DD
ndash Caps on various services
ndash Provider capacity issues for various services
bull 2015 ndash 16 Budget rate increase of 17 CPI projected increase of 27
8
9
$10000
$11000
$12000
$13000
$14000
$15000
$16000
$17000
FY 98 FY 99 FY 00 FY 01 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 FY 12 FY 13 FY 14 Fy 15 FY 16 FY 17 FY 18 FY 19 FY 20
Comparison of Provider-rate Policy to Denver-Boulder-Greeley CPITrending from FY 98 to FY 20
Growth of FY 98 $100 based on annual increasesdecreases appropriated for community provider rates
Growth of FY 98 $100 if annual fiscal year increase had been appropriated based on the prior calendar years Denver-Boulder-Greeley CPI
FY 16 is projected 27 CPI increase
FY16 is reflects JBC 17 rate increase
Workforce Boulder County
10
87457439 5701
5096 4147 2350
7043
14102
29727
0
5000
10000
15000
20000
25000
30000
35000
PY 12 PY 13 PY 14
Boulder County July 1 - December 31Three Year Comparison
Job Seekers
UI Claimants
Job Openings
Workforce Boulder County
11
IndustryPY 14 Job
Openings
of
Total
PY 13 Job
Openings
Change
from PY13Who are these companies
TOTAL 29727 1000 14102 1108
Professional Scientific
and Technical Services9076 305 2808 2232
AceInfo Solutions Digital Globe i2i Workforce AAA
Pest Pros Collabera Advantage Sales amp Marketing
Information 6516 219 727 7963Ventyx Black Diamond Outreach Zayo Twitter 30dB
Inc
Manufacturing 2715 91 1786 520Anvanced Forming Technology (metal manufacturing)
Covidien GE Lighting VSI Parylene ThermoFisher The
Keystone Group
Health Care and Social
Assistance2319 78 1763 315
Audigy Group All Valley Home Care Genosis
Rehabilitation Infinity Rehab Pediatric Services of
America
Retail 1881 63 1619 162Lowes MCG (Food amp Beverage store) Pier 1 Imports
Ross Starbucks Staples Lafayette Florist Redstone
Strategy Group
Conflict Free Case Management
Federal Centers for Medicare and Medicaid Rule
Providers of HCBS for the individual or those who have an interest in or are employed by a provider of HCBS for the individual must not provide case management or develop the person-centered service plan except when the State demonstrates that the only willing and qualified entity to provide case management andor develop person-centered service plans in a geographic area also provides HCBS
12
Conflict Free Case Management
Imagine Goals Toward a Resolution
bull Do no harm to end-userbull MaintainImprove end-user freedom of choicebull Put forth a solution which results in a seamless transition for end-usersbull MaintainImprove Coloradorsquos ranking as 8th for community based service delivery
among the most cost effective deliverables in the countrybull Maintain IDD specialtybull Maintain local values accountability controls and responsibility (ie current local
Boards of Directors)bull MaintainImprove local resources fund-raising mil levies local contracts for
servicebull Maintain organizationsrsquo social identities as dependable community resourcesbull Maintain existing workforce without harmbull MaintainImprove oversight of provider quality and veracity of system
administrationbull Respond appropriately to a fiscal analysis of the CMS Rulebull Address Federal interpretation and compliancebull Meet goals while minimizing unintended consequences
13
What would you like to talk about
14
4
bull The State of the State
bull Ending Waitlists in
ColoradoGrowth at Imagine
bull Community Capacity Issues
bull Conflict Free Case Management
and its Implications
How many people are we talking about
bull Early Intervention bull 484 -gt 516
bull Family Support bull 963 -gt 840
bull Childrenrsquos Extensive Support bull 76 (43 waiting) -gt 154 (0 waiting)
bull Foster Care bull 23 -gt 29
bull Adult Supported Living Services bull 260 -gt 387 (0 waiting)
bull Adult Comprehensive bull 313 -gt 368
bull Eligible Adults not funded in SLSComp bull 354 -gt 182
5
Colorado LegislatureIDD related bills
bull 2014 Establish a task force to analyze Regional Centers and ICF audit
bull Long Bill FY 16 Budget
bull Pending Bill to move the Division of Vocational Rehabilitation from DHS to CDLE
bull Pending Bill to redesign adult waivers and address conflict free case management
6
State Government
Budget Proposal approved by JBC for FY16 (statewide)
ndash 40 adults into HCBS-DD (259 last year)
ndash 55 foster care transition to HCBS-DD
ndash 30 adults transition from Regional Centers
ndash 92 adults into HCBS-SLS essentially ending the waitlist (2042 last year)
ndash 49 children into HCBS-CES essentially ending the waitlist (279 last year)
ndash 61 youths transitioning out of CES to SLS (61 last year)
ndash $1 million FSSP one time for respite care
7
State Government
bull Last yearrsquos 2013 - 14 Budget under spent by $23 million
bull Current year 2014 ndash 15 Budget under spent by about $20 millionndash Onboarding 2042 HCBS-SLS new enrollments
ndash Designed delay in filling vacancies for HCBS-DD
ndash Caps on various services
ndash Provider capacity issues for various services
bull 2015 ndash 16 Budget rate increase of 17 CPI projected increase of 27
8
9
$10000
$11000
$12000
$13000
$14000
$15000
$16000
$17000
FY 98 FY 99 FY 00 FY 01 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 FY 12 FY 13 FY 14 Fy 15 FY 16 FY 17 FY 18 FY 19 FY 20
Comparison of Provider-rate Policy to Denver-Boulder-Greeley CPITrending from FY 98 to FY 20
Growth of FY 98 $100 based on annual increasesdecreases appropriated for community provider rates
Growth of FY 98 $100 if annual fiscal year increase had been appropriated based on the prior calendar years Denver-Boulder-Greeley CPI
FY 16 is projected 27 CPI increase
FY16 is reflects JBC 17 rate increase
Workforce Boulder County
10
87457439 5701
5096 4147 2350
7043
14102
29727
0
5000
10000
15000
20000
25000
30000
35000
PY 12 PY 13 PY 14
Boulder County July 1 - December 31Three Year Comparison
Job Seekers
UI Claimants
Job Openings
Workforce Boulder County
11
IndustryPY 14 Job
Openings
of
Total
PY 13 Job
Openings
Change
from PY13Who are these companies
TOTAL 29727 1000 14102 1108
Professional Scientific
and Technical Services9076 305 2808 2232
AceInfo Solutions Digital Globe i2i Workforce AAA
Pest Pros Collabera Advantage Sales amp Marketing
Information 6516 219 727 7963Ventyx Black Diamond Outreach Zayo Twitter 30dB
Inc
Manufacturing 2715 91 1786 520Anvanced Forming Technology (metal manufacturing)
Covidien GE Lighting VSI Parylene ThermoFisher The
Keystone Group
Health Care and Social
Assistance2319 78 1763 315
Audigy Group All Valley Home Care Genosis
Rehabilitation Infinity Rehab Pediatric Services of
America
Retail 1881 63 1619 162Lowes MCG (Food amp Beverage store) Pier 1 Imports
Ross Starbucks Staples Lafayette Florist Redstone
Strategy Group
Conflict Free Case Management
Federal Centers for Medicare and Medicaid Rule
Providers of HCBS for the individual or those who have an interest in or are employed by a provider of HCBS for the individual must not provide case management or develop the person-centered service plan except when the State demonstrates that the only willing and qualified entity to provide case management andor develop person-centered service plans in a geographic area also provides HCBS
12
Conflict Free Case Management
Imagine Goals Toward a Resolution
bull Do no harm to end-userbull MaintainImprove end-user freedom of choicebull Put forth a solution which results in a seamless transition for end-usersbull MaintainImprove Coloradorsquos ranking as 8th for community based service delivery
among the most cost effective deliverables in the countrybull Maintain IDD specialtybull Maintain local values accountability controls and responsibility (ie current local
Boards of Directors)bull MaintainImprove local resources fund-raising mil levies local contracts for
servicebull Maintain organizationsrsquo social identities as dependable community resourcesbull Maintain existing workforce without harmbull MaintainImprove oversight of provider quality and veracity of system
administrationbull Respond appropriately to a fiscal analysis of the CMS Rulebull Address Federal interpretation and compliancebull Meet goals while minimizing unintended consequences
13
What would you like to talk about
14
How many people are we talking about
bull Early Intervention bull 484 -gt 516
bull Family Support bull 963 -gt 840
bull Childrenrsquos Extensive Support bull 76 (43 waiting) -gt 154 (0 waiting)
bull Foster Care bull 23 -gt 29
bull Adult Supported Living Services bull 260 -gt 387 (0 waiting)
bull Adult Comprehensive bull 313 -gt 368
bull Eligible Adults not funded in SLSComp bull 354 -gt 182
5
Colorado LegislatureIDD related bills
bull 2014 Establish a task force to analyze Regional Centers and ICF audit
bull Long Bill FY 16 Budget
bull Pending Bill to move the Division of Vocational Rehabilitation from DHS to CDLE
bull Pending Bill to redesign adult waivers and address conflict free case management
6
State Government
Budget Proposal approved by JBC for FY16 (statewide)
ndash 40 adults into HCBS-DD (259 last year)
ndash 55 foster care transition to HCBS-DD
ndash 30 adults transition from Regional Centers
ndash 92 adults into HCBS-SLS essentially ending the waitlist (2042 last year)
ndash 49 children into HCBS-CES essentially ending the waitlist (279 last year)
ndash 61 youths transitioning out of CES to SLS (61 last year)
ndash $1 million FSSP one time for respite care
7
State Government
bull Last yearrsquos 2013 - 14 Budget under spent by $23 million
bull Current year 2014 ndash 15 Budget under spent by about $20 millionndash Onboarding 2042 HCBS-SLS new enrollments
ndash Designed delay in filling vacancies for HCBS-DD
ndash Caps on various services
ndash Provider capacity issues for various services
bull 2015 ndash 16 Budget rate increase of 17 CPI projected increase of 27
8
9
$10000
$11000
$12000
$13000
$14000
$15000
$16000
$17000
FY 98 FY 99 FY 00 FY 01 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 FY 12 FY 13 FY 14 Fy 15 FY 16 FY 17 FY 18 FY 19 FY 20
Comparison of Provider-rate Policy to Denver-Boulder-Greeley CPITrending from FY 98 to FY 20
Growth of FY 98 $100 based on annual increasesdecreases appropriated for community provider rates
Growth of FY 98 $100 if annual fiscal year increase had been appropriated based on the prior calendar years Denver-Boulder-Greeley CPI
FY 16 is projected 27 CPI increase
FY16 is reflects JBC 17 rate increase
Workforce Boulder County
10
87457439 5701
5096 4147 2350
7043
14102
29727
0
5000
10000
15000
20000
25000
30000
35000
PY 12 PY 13 PY 14
Boulder County July 1 - December 31Three Year Comparison
Job Seekers
UI Claimants
Job Openings
Workforce Boulder County
11
IndustryPY 14 Job
Openings
of
Total
PY 13 Job
Openings
Change
from PY13Who are these companies
TOTAL 29727 1000 14102 1108
Professional Scientific
and Technical Services9076 305 2808 2232
AceInfo Solutions Digital Globe i2i Workforce AAA
Pest Pros Collabera Advantage Sales amp Marketing
Information 6516 219 727 7963Ventyx Black Diamond Outreach Zayo Twitter 30dB
Inc
Manufacturing 2715 91 1786 520Anvanced Forming Technology (metal manufacturing)
Covidien GE Lighting VSI Parylene ThermoFisher The
Keystone Group
Health Care and Social
Assistance2319 78 1763 315
Audigy Group All Valley Home Care Genosis
Rehabilitation Infinity Rehab Pediatric Services of
America
Retail 1881 63 1619 162Lowes MCG (Food amp Beverage store) Pier 1 Imports
Ross Starbucks Staples Lafayette Florist Redstone
Strategy Group
Conflict Free Case Management
Federal Centers for Medicare and Medicaid Rule
Providers of HCBS for the individual or those who have an interest in or are employed by a provider of HCBS for the individual must not provide case management or develop the person-centered service plan except when the State demonstrates that the only willing and qualified entity to provide case management andor develop person-centered service plans in a geographic area also provides HCBS
12
Conflict Free Case Management
Imagine Goals Toward a Resolution
bull Do no harm to end-userbull MaintainImprove end-user freedom of choicebull Put forth a solution which results in a seamless transition for end-usersbull MaintainImprove Coloradorsquos ranking as 8th for community based service delivery
among the most cost effective deliverables in the countrybull Maintain IDD specialtybull Maintain local values accountability controls and responsibility (ie current local
Boards of Directors)bull MaintainImprove local resources fund-raising mil levies local contracts for
servicebull Maintain organizationsrsquo social identities as dependable community resourcesbull Maintain existing workforce without harmbull MaintainImprove oversight of provider quality and veracity of system
administrationbull Respond appropriately to a fiscal analysis of the CMS Rulebull Address Federal interpretation and compliancebull Meet goals while minimizing unintended consequences
13
What would you like to talk about
14
Colorado LegislatureIDD related bills
bull 2014 Establish a task force to analyze Regional Centers and ICF audit
bull Long Bill FY 16 Budget
bull Pending Bill to move the Division of Vocational Rehabilitation from DHS to CDLE
bull Pending Bill to redesign adult waivers and address conflict free case management
6
State Government
Budget Proposal approved by JBC for FY16 (statewide)
ndash 40 adults into HCBS-DD (259 last year)
ndash 55 foster care transition to HCBS-DD
ndash 30 adults transition from Regional Centers
ndash 92 adults into HCBS-SLS essentially ending the waitlist (2042 last year)
ndash 49 children into HCBS-CES essentially ending the waitlist (279 last year)
ndash 61 youths transitioning out of CES to SLS (61 last year)
ndash $1 million FSSP one time for respite care
7
State Government
bull Last yearrsquos 2013 - 14 Budget under spent by $23 million
bull Current year 2014 ndash 15 Budget under spent by about $20 millionndash Onboarding 2042 HCBS-SLS new enrollments
ndash Designed delay in filling vacancies for HCBS-DD
ndash Caps on various services
ndash Provider capacity issues for various services
bull 2015 ndash 16 Budget rate increase of 17 CPI projected increase of 27
8
9
$10000
$11000
$12000
$13000
$14000
$15000
$16000
$17000
FY 98 FY 99 FY 00 FY 01 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 FY 12 FY 13 FY 14 Fy 15 FY 16 FY 17 FY 18 FY 19 FY 20
Comparison of Provider-rate Policy to Denver-Boulder-Greeley CPITrending from FY 98 to FY 20
Growth of FY 98 $100 based on annual increasesdecreases appropriated for community provider rates
Growth of FY 98 $100 if annual fiscal year increase had been appropriated based on the prior calendar years Denver-Boulder-Greeley CPI
FY 16 is projected 27 CPI increase
FY16 is reflects JBC 17 rate increase
Workforce Boulder County
10
87457439 5701
5096 4147 2350
7043
14102
29727
0
5000
10000
15000
20000
25000
30000
35000
PY 12 PY 13 PY 14
Boulder County July 1 - December 31Three Year Comparison
Job Seekers
UI Claimants
Job Openings
Workforce Boulder County
11
IndustryPY 14 Job
Openings
of
Total
PY 13 Job
Openings
Change
from PY13Who are these companies
TOTAL 29727 1000 14102 1108
Professional Scientific
and Technical Services9076 305 2808 2232
AceInfo Solutions Digital Globe i2i Workforce AAA
Pest Pros Collabera Advantage Sales amp Marketing
Information 6516 219 727 7963Ventyx Black Diamond Outreach Zayo Twitter 30dB
Inc
Manufacturing 2715 91 1786 520Anvanced Forming Technology (metal manufacturing)
Covidien GE Lighting VSI Parylene ThermoFisher The
Keystone Group
Health Care and Social
Assistance2319 78 1763 315
Audigy Group All Valley Home Care Genosis
Rehabilitation Infinity Rehab Pediatric Services of
America
Retail 1881 63 1619 162Lowes MCG (Food amp Beverage store) Pier 1 Imports
Ross Starbucks Staples Lafayette Florist Redstone
Strategy Group
Conflict Free Case Management
Federal Centers for Medicare and Medicaid Rule
Providers of HCBS for the individual or those who have an interest in or are employed by a provider of HCBS for the individual must not provide case management or develop the person-centered service plan except when the State demonstrates that the only willing and qualified entity to provide case management andor develop person-centered service plans in a geographic area also provides HCBS
12
Conflict Free Case Management
Imagine Goals Toward a Resolution
bull Do no harm to end-userbull MaintainImprove end-user freedom of choicebull Put forth a solution which results in a seamless transition for end-usersbull MaintainImprove Coloradorsquos ranking as 8th for community based service delivery
among the most cost effective deliverables in the countrybull Maintain IDD specialtybull Maintain local values accountability controls and responsibility (ie current local
Boards of Directors)bull MaintainImprove local resources fund-raising mil levies local contracts for
servicebull Maintain organizationsrsquo social identities as dependable community resourcesbull Maintain existing workforce without harmbull MaintainImprove oversight of provider quality and veracity of system
administrationbull Respond appropriately to a fiscal analysis of the CMS Rulebull Address Federal interpretation and compliancebull Meet goals while minimizing unintended consequences
13
What would you like to talk about
14
State Government
Budget Proposal approved by JBC for FY16 (statewide)
ndash 40 adults into HCBS-DD (259 last year)
ndash 55 foster care transition to HCBS-DD
ndash 30 adults transition from Regional Centers
ndash 92 adults into HCBS-SLS essentially ending the waitlist (2042 last year)
ndash 49 children into HCBS-CES essentially ending the waitlist (279 last year)
ndash 61 youths transitioning out of CES to SLS (61 last year)
ndash $1 million FSSP one time for respite care
7
State Government
bull Last yearrsquos 2013 - 14 Budget under spent by $23 million
bull Current year 2014 ndash 15 Budget under spent by about $20 millionndash Onboarding 2042 HCBS-SLS new enrollments
ndash Designed delay in filling vacancies for HCBS-DD
ndash Caps on various services
ndash Provider capacity issues for various services
bull 2015 ndash 16 Budget rate increase of 17 CPI projected increase of 27
8
9
$10000
$11000
$12000
$13000
$14000
$15000
$16000
$17000
FY 98 FY 99 FY 00 FY 01 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 FY 12 FY 13 FY 14 Fy 15 FY 16 FY 17 FY 18 FY 19 FY 20
Comparison of Provider-rate Policy to Denver-Boulder-Greeley CPITrending from FY 98 to FY 20
Growth of FY 98 $100 based on annual increasesdecreases appropriated for community provider rates
Growth of FY 98 $100 if annual fiscal year increase had been appropriated based on the prior calendar years Denver-Boulder-Greeley CPI
FY 16 is projected 27 CPI increase
FY16 is reflects JBC 17 rate increase
Workforce Boulder County
10
87457439 5701
5096 4147 2350
7043
14102
29727
0
5000
10000
15000
20000
25000
30000
35000
PY 12 PY 13 PY 14
Boulder County July 1 - December 31Three Year Comparison
Job Seekers
UI Claimants
Job Openings
Workforce Boulder County
11
IndustryPY 14 Job
Openings
of
Total
PY 13 Job
Openings
Change
from PY13Who are these companies
TOTAL 29727 1000 14102 1108
Professional Scientific
and Technical Services9076 305 2808 2232
AceInfo Solutions Digital Globe i2i Workforce AAA
Pest Pros Collabera Advantage Sales amp Marketing
Information 6516 219 727 7963Ventyx Black Diamond Outreach Zayo Twitter 30dB
Inc
Manufacturing 2715 91 1786 520Anvanced Forming Technology (metal manufacturing)
Covidien GE Lighting VSI Parylene ThermoFisher The
Keystone Group
Health Care and Social
Assistance2319 78 1763 315
Audigy Group All Valley Home Care Genosis
Rehabilitation Infinity Rehab Pediatric Services of
America
Retail 1881 63 1619 162Lowes MCG (Food amp Beverage store) Pier 1 Imports
Ross Starbucks Staples Lafayette Florist Redstone
Strategy Group
Conflict Free Case Management
Federal Centers for Medicare and Medicaid Rule
Providers of HCBS for the individual or those who have an interest in or are employed by a provider of HCBS for the individual must not provide case management or develop the person-centered service plan except when the State demonstrates that the only willing and qualified entity to provide case management andor develop person-centered service plans in a geographic area also provides HCBS
12
Conflict Free Case Management
Imagine Goals Toward a Resolution
bull Do no harm to end-userbull MaintainImprove end-user freedom of choicebull Put forth a solution which results in a seamless transition for end-usersbull MaintainImprove Coloradorsquos ranking as 8th for community based service delivery
among the most cost effective deliverables in the countrybull Maintain IDD specialtybull Maintain local values accountability controls and responsibility (ie current local
Boards of Directors)bull MaintainImprove local resources fund-raising mil levies local contracts for
servicebull Maintain organizationsrsquo social identities as dependable community resourcesbull Maintain existing workforce without harmbull MaintainImprove oversight of provider quality and veracity of system
administrationbull Respond appropriately to a fiscal analysis of the CMS Rulebull Address Federal interpretation and compliancebull Meet goals while minimizing unintended consequences
13
What would you like to talk about
14
State Government
bull Last yearrsquos 2013 - 14 Budget under spent by $23 million
bull Current year 2014 ndash 15 Budget under spent by about $20 millionndash Onboarding 2042 HCBS-SLS new enrollments
ndash Designed delay in filling vacancies for HCBS-DD
ndash Caps on various services
ndash Provider capacity issues for various services
bull 2015 ndash 16 Budget rate increase of 17 CPI projected increase of 27
8
9
$10000
$11000
$12000
$13000
$14000
$15000
$16000
$17000
FY 98 FY 99 FY 00 FY 01 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 FY 12 FY 13 FY 14 Fy 15 FY 16 FY 17 FY 18 FY 19 FY 20
Comparison of Provider-rate Policy to Denver-Boulder-Greeley CPITrending from FY 98 to FY 20
Growth of FY 98 $100 based on annual increasesdecreases appropriated for community provider rates
Growth of FY 98 $100 if annual fiscal year increase had been appropriated based on the prior calendar years Denver-Boulder-Greeley CPI
FY 16 is projected 27 CPI increase
FY16 is reflects JBC 17 rate increase
Workforce Boulder County
10
87457439 5701
5096 4147 2350
7043
14102
29727
0
5000
10000
15000
20000
25000
30000
35000
PY 12 PY 13 PY 14
Boulder County July 1 - December 31Three Year Comparison
Job Seekers
UI Claimants
Job Openings
Workforce Boulder County
11
IndustryPY 14 Job
Openings
of
Total
PY 13 Job
Openings
Change
from PY13Who are these companies
TOTAL 29727 1000 14102 1108
Professional Scientific
and Technical Services9076 305 2808 2232
AceInfo Solutions Digital Globe i2i Workforce AAA
Pest Pros Collabera Advantage Sales amp Marketing
Information 6516 219 727 7963Ventyx Black Diamond Outreach Zayo Twitter 30dB
Inc
Manufacturing 2715 91 1786 520Anvanced Forming Technology (metal manufacturing)
Covidien GE Lighting VSI Parylene ThermoFisher The
Keystone Group
Health Care and Social
Assistance2319 78 1763 315
Audigy Group All Valley Home Care Genosis
Rehabilitation Infinity Rehab Pediatric Services of
America
Retail 1881 63 1619 162Lowes MCG (Food amp Beverage store) Pier 1 Imports
Ross Starbucks Staples Lafayette Florist Redstone
Strategy Group
Conflict Free Case Management
Federal Centers for Medicare and Medicaid Rule
Providers of HCBS for the individual or those who have an interest in or are employed by a provider of HCBS for the individual must not provide case management or develop the person-centered service plan except when the State demonstrates that the only willing and qualified entity to provide case management andor develop person-centered service plans in a geographic area also provides HCBS
12
Conflict Free Case Management
Imagine Goals Toward a Resolution
bull Do no harm to end-userbull MaintainImprove end-user freedom of choicebull Put forth a solution which results in a seamless transition for end-usersbull MaintainImprove Coloradorsquos ranking as 8th for community based service delivery
among the most cost effective deliverables in the countrybull Maintain IDD specialtybull Maintain local values accountability controls and responsibility (ie current local
Boards of Directors)bull MaintainImprove local resources fund-raising mil levies local contracts for
servicebull Maintain organizationsrsquo social identities as dependable community resourcesbull Maintain existing workforce without harmbull MaintainImprove oversight of provider quality and veracity of system
administrationbull Respond appropriately to a fiscal analysis of the CMS Rulebull Address Federal interpretation and compliancebull Meet goals while minimizing unintended consequences
13
What would you like to talk about
14
9
$10000
$11000
$12000
$13000
$14000
$15000
$16000
$17000
FY 98 FY 99 FY 00 FY 01 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 FY 12 FY 13 FY 14 Fy 15 FY 16 FY 17 FY 18 FY 19 FY 20
Comparison of Provider-rate Policy to Denver-Boulder-Greeley CPITrending from FY 98 to FY 20
Growth of FY 98 $100 based on annual increasesdecreases appropriated for community provider rates
Growth of FY 98 $100 if annual fiscal year increase had been appropriated based on the prior calendar years Denver-Boulder-Greeley CPI
FY 16 is projected 27 CPI increase
FY16 is reflects JBC 17 rate increase
Workforce Boulder County
10
87457439 5701
5096 4147 2350
7043
14102
29727
0
5000
10000
15000
20000
25000
30000
35000
PY 12 PY 13 PY 14
Boulder County July 1 - December 31Three Year Comparison
Job Seekers
UI Claimants
Job Openings
Workforce Boulder County
11
IndustryPY 14 Job
Openings
of
Total
PY 13 Job
Openings
Change
from PY13Who are these companies
TOTAL 29727 1000 14102 1108
Professional Scientific
and Technical Services9076 305 2808 2232
AceInfo Solutions Digital Globe i2i Workforce AAA
Pest Pros Collabera Advantage Sales amp Marketing
Information 6516 219 727 7963Ventyx Black Diamond Outreach Zayo Twitter 30dB
Inc
Manufacturing 2715 91 1786 520Anvanced Forming Technology (metal manufacturing)
Covidien GE Lighting VSI Parylene ThermoFisher The
Keystone Group
Health Care and Social
Assistance2319 78 1763 315
Audigy Group All Valley Home Care Genosis
Rehabilitation Infinity Rehab Pediatric Services of
America
Retail 1881 63 1619 162Lowes MCG (Food amp Beverage store) Pier 1 Imports
Ross Starbucks Staples Lafayette Florist Redstone
Strategy Group
Conflict Free Case Management
Federal Centers for Medicare and Medicaid Rule
Providers of HCBS for the individual or those who have an interest in or are employed by a provider of HCBS for the individual must not provide case management or develop the person-centered service plan except when the State demonstrates that the only willing and qualified entity to provide case management andor develop person-centered service plans in a geographic area also provides HCBS
12
Conflict Free Case Management
Imagine Goals Toward a Resolution
bull Do no harm to end-userbull MaintainImprove end-user freedom of choicebull Put forth a solution which results in a seamless transition for end-usersbull MaintainImprove Coloradorsquos ranking as 8th for community based service delivery
among the most cost effective deliverables in the countrybull Maintain IDD specialtybull Maintain local values accountability controls and responsibility (ie current local
Boards of Directors)bull MaintainImprove local resources fund-raising mil levies local contracts for
servicebull Maintain organizationsrsquo social identities as dependable community resourcesbull Maintain existing workforce without harmbull MaintainImprove oversight of provider quality and veracity of system
administrationbull Respond appropriately to a fiscal analysis of the CMS Rulebull Address Federal interpretation and compliancebull Meet goals while minimizing unintended consequences
13
What would you like to talk about
14
Workforce Boulder County
10
87457439 5701
5096 4147 2350
7043
14102
29727
0
5000
10000
15000
20000
25000
30000
35000
PY 12 PY 13 PY 14
Boulder County July 1 - December 31Three Year Comparison
Job Seekers
UI Claimants
Job Openings
Workforce Boulder County
11
IndustryPY 14 Job
Openings
of
Total
PY 13 Job
Openings
Change
from PY13Who are these companies
TOTAL 29727 1000 14102 1108
Professional Scientific
and Technical Services9076 305 2808 2232
AceInfo Solutions Digital Globe i2i Workforce AAA
Pest Pros Collabera Advantage Sales amp Marketing
Information 6516 219 727 7963Ventyx Black Diamond Outreach Zayo Twitter 30dB
Inc
Manufacturing 2715 91 1786 520Anvanced Forming Technology (metal manufacturing)
Covidien GE Lighting VSI Parylene ThermoFisher The
Keystone Group
Health Care and Social
Assistance2319 78 1763 315
Audigy Group All Valley Home Care Genosis
Rehabilitation Infinity Rehab Pediatric Services of
America
Retail 1881 63 1619 162Lowes MCG (Food amp Beverage store) Pier 1 Imports
Ross Starbucks Staples Lafayette Florist Redstone
Strategy Group
Conflict Free Case Management
Federal Centers for Medicare and Medicaid Rule
Providers of HCBS for the individual or those who have an interest in or are employed by a provider of HCBS for the individual must not provide case management or develop the person-centered service plan except when the State demonstrates that the only willing and qualified entity to provide case management andor develop person-centered service plans in a geographic area also provides HCBS
12
Conflict Free Case Management
Imagine Goals Toward a Resolution
bull Do no harm to end-userbull MaintainImprove end-user freedom of choicebull Put forth a solution which results in a seamless transition for end-usersbull MaintainImprove Coloradorsquos ranking as 8th for community based service delivery
among the most cost effective deliverables in the countrybull Maintain IDD specialtybull Maintain local values accountability controls and responsibility (ie current local
Boards of Directors)bull MaintainImprove local resources fund-raising mil levies local contracts for
servicebull Maintain organizationsrsquo social identities as dependable community resourcesbull Maintain existing workforce without harmbull MaintainImprove oversight of provider quality and veracity of system
administrationbull Respond appropriately to a fiscal analysis of the CMS Rulebull Address Federal interpretation and compliancebull Meet goals while minimizing unintended consequences
13
What would you like to talk about
14
Workforce Boulder County
11
IndustryPY 14 Job
Openings
of
Total
PY 13 Job
Openings
Change
from PY13Who are these companies
TOTAL 29727 1000 14102 1108
Professional Scientific
and Technical Services9076 305 2808 2232
AceInfo Solutions Digital Globe i2i Workforce AAA
Pest Pros Collabera Advantage Sales amp Marketing
Information 6516 219 727 7963Ventyx Black Diamond Outreach Zayo Twitter 30dB
Inc
Manufacturing 2715 91 1786 520Anvanced Forming Technology (metal manufacturing)
Covidien GE Lighting VSI Parylene ThermoFisher The
Keystone Group
Health Care and Social
Assistance2319 78 1763 315
Audigy Group All Valley Home Care Genosis
Rehabilitation Infinity Rehab Pediatric Services of
America
Retail 1881 63 1619 162Lowes MCG (Food amp Beverage store) Pier 1 Imports
Ross Starbucks Staples Lafayette Florist Redstone
Strategy Group
Conflict Free Case Management
Federal Centers for Medicare and Medicaid Rule
Providers of HCBS for the individual or those who have an interest in or are employed by a provider of HCBS for the individual must not provide case management or develop the person-centered service plan except when the State demonstrates that the only willing and qualified entity to provide case management andor develop person-centered service plans in a geographic area also provides HCBS
12
Conflict Free Case Management
Imagine Goals Toward a Resolution
bull Do no harm to end-userbull MaintainImprove end-user freedom of choicebull Put forth a solution which results in a seamless transition for end-usersbull MaintainImprove Coloradorsquos ranking as 8th for community based service delivery
among the most cost effective deliverables in the countrybull Maintain IDD specialtybull Maintain local values accountability controls and responsibility (ie current local
Boards of Directors)bull MaintainImprove local resources fund-raising mil levies local contracts for
servicebull Maintain organizationsrsquo social identities as dependable community resourcesbull Maintain existing workforce without harmbull MaintainImprove oversight of provider quality and veracity of system
administrationbull Respond appropriately to a fiscal analysis of the CMS Rulebull Address Federal interpretation and compliancebull Meet goals while minimizing unintended consequences
13
What would you like to talk about
14
Conflict Free Case Management
Federal Centers for Medicare and Medicaid Rule
Providers of HCBS for the individual or those who have an interest in or are employed by a provider of HCBS for the individual must not provide case management or develop the person-centered service plan except when the State demonstrates that the only willing and qualified entity to provide case management andor develop person-centered service plans in a geographic area also provides HCBS
12
Conflict Free Case Management
Imagine Goals Toward a Resolution
bull Do no harm to end-userbull MaintainImprove end-user freedom of choicebull Put forth a solution which results in a seamless transition for end-usersbull MaintainImprove Coloradorsquos ranking as 8th for community based service delivery
among the most cost effective deliverables in the countrybull Maintain IDD specialtybull Maintain local values accountability controls and responsibility (ie current local
Boards of Directors)bull MaintainImprove local resources fund-raising mil levies local contracts for
servicebull Maintain organizationsrsquo social identities as dependable community resourcesbull Maintain existing workforce without harmbull MaintainImprove oversight of provider quality and veracity of system
administrationbull Respond appropriately to a fiscal analysis of the CMS Rulebull Address Federal interpretation and compliancebull Meet goals while minimizing unintended consequences
13
What would you like to talk about
14
Conflict Free Case Management
Imagine Goals Toward a Resolution
bull Do no harm to end-userbull MaintainImprove end-user freedom of choicebull Put forth a solution which results in a seamless transition for end-usersbull MaintainImprove Coloradorsquos ranking as 8th for community based service delivery
among the most cost effective deliverables in the countrybull Maintain IDD specialtybull Maintain local values accountability controls and responsibility (ie current local
Boards of Directors)bull MaintainImprove local resources fund-raising mil levies local contracts for
servicebull Maintain organizationsrsquo social identities as dependable community resourcesbull Maintain existing workforce without harmbull MaintainImprove oversight of provider quality and veracity of system
administrationbull Respond appropriately to a fiscal analysis of the CMS Rulebull Address Federal interpretation and compliancebull Meet goals while minimizing unintended consequences
13
What would you like to talk about
14
What would you like to talk about
14
